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9 November, 15:37

A 60-year-old woman is brought to the emergency department after being the unrestrained driver in a motor vehicle collision. Her Glasgow coma score at the scene was 4 and she was intubated for airway protection. Which of the following physical exam findings is concerning for increased intracranial pressure?

The Cushing triad includes bradycardia, hypertension, and irregular breathing and results from increased intracranial pressure (ICP).

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  1. 9 November, 19:25
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    The Cushing triad includes bradycardia, hypertension, and irregular breathing and results from increased intracranial pressure (ICP).

    Explanation:

    The Glasgow Coma Scale is known as the fundamental system of scoring that is used to describe the consciousness level in an individual subsequent to a very serious injury in the brain. Hence the main physical exam finding that is concerning for increased intracranial pressure is the Cushing triad. This is considered a clinical triad with irregular and decreased respiration, systolic hypertension, and bradycardia.
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